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episiotomy

Surgical incision of the vulva. Indications: 1) prevention of laceration at the time of delivery 2) facilitation of delivery Contraindications: - no benefit to routine episitomy [3] Procedure: - mediolateral episiotomy is generally preferred over midline episiotomy [4] Complications: 1) increases risk for infection 2) increases risk of hemorrhage [2]

Related

labor & delivery

General

gynecologic surgery

References

  1. Stedman's Medical Dictionary 27th ed, Williams & Wilkins, Baltimore, 1999
  2. Journal Watch 22(8):65, 2002 Goldberg J, Holtz D, Hyslop T, Tolosa JE Has the use of routine episiotomy decreased? Examination of episiotomy rates from 1983 to 2000. Obstet Gynecol 99:395, 2002 PMID: 11864665
  3. Journal Watch 25(12):95, 2005 Hartmann K, Viswanathan M, Palmieri R, Gartlehner G, Thorp J Jr, Lohr KN. Outcomes of routine episiotomy: a systematic review. JAMA. 2005 May 4;293(17):2141-8. Review. PMID: 15870418
  4. Young K, Sofair A, Chavey WE Obstetricians Group Continues to Recommend Restrictive Use of Episiotomy Physician's First Watch, June 24, 2016 David G. Fairchild, MD, MPH, Editor-in-Chief Massachusetts Medical Society http://www.jwatch.org